With Medsien’s automated and audit-proof technology, you gain detailed documentation to track patient vitals and health trends in real time.
Medsien’s proactive care team understands each patient’s medical history and regularly checks in to answer questions, make appointments and monitor treatment progress.
RTM programs can be therapeutic for everyone involved, both medically and emotionally. Medsien automates workflows end-to-end, from enrollment, tracking, reporting and billing.
In 2022, the Centers for Medicare and Medicaid Services (CMS) introduced a new category of digital health services – Remote Therapeutic Monitoring (RTM).
RTM is designed for the management of patients using medical devices that collect therapeutic, non-physiologic data. Data around indicators such as therapy/medication adherence, therapy/medication response, and pain level can be collected and billed under the RTM codes.
Non-physiologic measures can allow a provider to determine how well a patient is responding to a medication, what social or environmental factors affect the patient’s musculoskeletal health status, and what changes could be made to improve the patient’s health.
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Remote therapeutic monitoring (RTM) is the management of patients using self-reported therapeutic data, otherwise known as non-physiological data, outside of a provider’s organization.
Examples of remote therapeutic monitoring involve the initial setup and patient education on the use of equipment that allow patients to self-report on respiratory system status, musculoskeletal system status, therapy adherence, and therapy response.
Equipment used for remote therapeutic monitoring must monitor either the respiratory or musculoskeletal system. Common devices used in RTM programs include but are not limited to: respiratory inhalers for asthma or chronic obstructive pulmonary disease (COPD) and medical devices used for physical and occupational therapy.
Similar to other care management services, remote therapeutic monitoring requires a minimum of 20 minutes of care coordination, with at least one interactive communication with the patient or caregiver via phone call or video conferencing.
Remote therapeutic monitoring services are available to patients of eligible qualified healthcare professionals, which include physicians, physical therapists, occupational therapists, and nurse practitioners.
Remote therapeutic monitoring benefits patients by increasing access to therapeutic care outside of their doctor’s office. RTM also benefits practices by widening the scope of non-physiological data that can be self-reported to receive reimbursement for coordinated care management.
Compared to RPM, RTM encompasses a broader set of use cases and application of remote patient care. The primary difference between RTM and RPM is the collection of non-physiological or therapeutic data, which can be self-reported by patients around indicators, such as pain levels and medication adherence.
No. Because RTM and RPM services have unique requirements on the categorization of data collected, they cannot be billed for the same patient in the same month. Additionally, if multiple medical devices are used, they can be billed only by one practitioner, only once per patient, per 30-day period.
Unlike RPM, non-Evaluation and Management (E/M) billing practitioners can bill for RTM services, which includes physical therapists and operational therapists. RTM services must be provided under direct supervision when not directly performed by eligible physicians, nurse practitioners, or therapists.
For 500 enrolled patients, Medsien’s RTM solution can generate up to $850,000 in additional annual revenue. With our accurate, automated billing and coding, we achieve an average monthly reimbursement rate of 98%. Reach out to our team of RTM experts to get started.
Yes, as long as a patient’s chronic condition is eligible for remote therapeutic monitoring, Medicare does reimburse RTM services. The five CPT codes used to report RTM are for service initiation (98975), data transmission (98976), data analysis and interpretation (98977) and treatment management services (98980 & 98981). And new for 2024, RHCs and FQHCs providing the above RTM services bill HCPCS code G0511. Refer to CMS.org for the latest CPT code updates.